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目的:回顾性分析全喉切除后气、食管声裂发声重建及防误咽效果。方法:对27例喉癌患者全喉切除后行气、食管声裂建造术,在食管前壁和气管后壁作一长0.5～1.0cm声裂,在声裂上方制作一新的会厌防误咽。结果:27例患者中,23例获得良好发声功能,成功率为85.2%(23/27),其中22例防误咽成功,1例失败。27例患者术后3年生存率为66.7%(18/27),5年生存率为48.1%(13/27)。结论:气、食管声裂建造术可使全喉切除患者获得良好的发声效果并可防止误咽。
OBJECTIVE: To retrospectively analyze the echogenic and esophagogastric reconstruction of gas and esophageal sphincter after total laryngectomy. Methods: Twenty-seven patients with laryngeal cancer underwent total laryngectomy for gas or esophageal sphincter. A 0.5-1.0 cm long cleft was made on the anterior esophageal wall and the posterior wall of the trachea to make a new epiglottis prevention pharynx. Results: Out of 27 patients, 23 cases achieved good vocal function, with a success rate of 85.2% (23/27). Among them, 22 were successful in preventing emesis and 1 failed. The 3-year survival rate of the 27 patients was 66.7% (18/27), and the 5-year survival rate was 48.1% (13/27). Conclusion: Gas, esophageal sphincteric surgery can make patients with total laryngectomy sound good vocal effects and prevent swallowing.